Mālama maʻi ʻaʻai - hana me ka ʻeha

Hiki i ka maʻi ʻaʻai ke hana i ka ʻeha i kekahi manawa. Hiki i kēia ʻeha ke hele mai mai ka maʻi ʻaʻai ponoʻī, a mai nā ʻano lāʻau no ka maʻi ʻaʻai.

ʻO ka mālama ʻana i kou ʻeha he ʻāpana ia o kāu lapaʻau maʻamau no ka maʻi ʻaʻai. He kuleana kāu e loaʻa ai ka lāʻau no ka maʻi ʻaʻai. Nui nā lāʻau a me nā ʻano lāʻau ʻē aʻe hiki ke kōkua. Inā loaʻa iā ʻoe kahi ʻeha, e pono e kamaʻilio pū me kāu kauka olakino e pili ana i kāu koho.

Hiki i ka ʻeha mai ke kanesa ke loaʻa i kekahi mau kumu like ʻole:

• Ka maʻi ʻaʻai. Ke ulu ka tumo, hiki iā ia ke kaomi ma nā aʻa, nā iwi, nā ʻokena, a i ʻole ke kuamoʻo, e ʻeha ai.
• Nā hoʻāʻo olakino. ʻO kekahi mau hoʻokolohua olakino, e like me ka biopsy a i ʻole ka hoʻāʻo ʻana o ka iwi iwi, hiki ke hōʻeha i ka ʻeha.
• Lapaʻau. Hiki i nā ʻano o nā maʻi maʻi ʻaʻai ke hana i ka ʻeha, e like me chemotherapy, radiation, a me ke ʻoki kino.

ʻOkoʻa ka ʻeha o kēlā me kēia. Hiki ke hōʻeha ʻia kou ʻeha mai ke akahai a i ʻole koʻikoʻi a mau paha no kekahi manawa pōkole a hoʻomau no kahi manawa lōʻihi.

ʻAʻole lawa ka poʻe me ka maʻi ʻaʻai i ka lapaʻau no ko lākou ʻeha. Ma muli paha o ko lākou makemake ʻole e lawe i ka lāʻau ʻeha, a i ʻole manaʻo ʻaʻole e kōkua. Akā ʻo ka mālama ʻana i kou ʻeha kahi ʻāpana o ka mālama ʻana i kāu maʻi ʻaʻai. Pono ʻoe e loaʻa i ka lāʻau no ka ʻeha e like me kāu i nā hopena ʻē aʻe.

Hiki i ke mālama ʻeha ke kōkua iā ʻoe e hōʻoluʻolu maikaʻi loa. Hiki i ke kōkua ʻana ke kōkua iā ʻoe:

• Hiamoe maikaʻi
• E hana hou
• Makemake e ʻai
• E hōʻemi i ke koʻikoʻi a me ke kaumaha
• Hoʻonui i kou ola moekolohe

Makaʻu kekahi poʻe e lawe i nā lāʻau ʻeha no ka mea manaʻo lākou e lilo lākou i mea ʻona. Ma hope o ka manawa, hoʻomohala paha kou kino i kahi ahonui no ka lāʻau ʻeha. ʻO kēia ka mea e pono ai iā ʻoe i ka mea hou aʻe e mālama i kou ʻeha. He mea maʻamau kēia a hiki ke hana ʻia me nā lāʻau ʻē aʻe pū kekahi. ʻAʻole ia he manaʻo ʻaʻa ʻoe. ʻOiai ke lawe nei ʻoe i ka lāʻau e like me ka mea i kauoha ʻia e kāu kauka, ʻaʻohe ou manawa iki e lilo ai i mea ʻaʻa.

E hōʻoia i ka loaʻa ʻana o ka lāʻau kūpono no kou ʻeha, he mea nui e ʻoiaʻiʻo e like me ka hiki me kāu mea hāʻawi. E makemake ʻoe e haʻi i kāu mea hāʻawi:

• He aha kou ʻeha e like ai (ʻeha, ʻū, palu, kūmau, a ʻoi paha)
• Ma hea ʻoe e ʻeha ai
• Pehea ka lōʻihi o ka ʻeha
• Pehea kona ikaika
• Inā loaʻa kahi manawa o ka lā e ʻoi aku ka maikaʻi a maikaʻi ʻole paha
• Inā he mea ʻē aʻe e hoʻomaikaʻi a maikaʻi ʻole paha
• Inā mālama kou ʻeha iā ʻoe mai ka hana ʻana i nā hana

E noi paha kāu mea hāʻawi iā ʻoe e helu i kou ʻeha ma ka hoʻohana ʻana i kahi pālākiō a i ʻole pakuhi. He mea kōkua paha ke mālama i kahi diary ʻeha e kōkua ai i ke alualu ʻana i kou ʻeha. Hiki iā ʻoe ke mālama i ka manawa ke lawe ʻoe i ka lāʻau no kou ʻeha a me ke ʻano o ke kōkua. E kōkua kēia i kāu mea e ʻike i ka maikaʻi o ka hana ʻana o ka lāʻau.

ʻEkolu ʻano nui o nā lāʻau no ka ʻeha o ka maʻi ʻaʻai. E hana pū kāu mea hāʻawi iā ʻoe e ʻike i kahi lāʻau e kūpono loa iā ʻoe me ka hapa liʻiliʻi o nā hopena ʻaoʻao. Ma ka laulā, e hoʻomaka ʻoe me ka liʻiliʻi loa o ka lāʻau me nā hopena liʻiliʻi e hōʻoluʻolu i kou ʻeha. Inā ʻaʻole holo kekahi lāʻau, manaʻo paha kāu mea hāʻawi i kahi ʻē aʻe. Lōʻihi paha ka manawa e ʻike i ka lāʻau kūpono a me ka lāʻau kūpono e kūpono iā ʻoe.

• Nā mea hōʻeha ʻeha ʻole opioid. Hoʻopili kēia mau lāʻau i ka acetaminophen (Tylenol) a me nā lāʻau anti-inflammatory nonsteroidal (NSAIDs), e like me aspirin, ibuprofen (Advil, Motrin, a me nā mea ʻē aʻe), a me naproxen (Aleve). ʻOi aku ka maikaʻi o lākou e mālama i ka ʻeha me ka ʻeha kaulike. Hiki iā ʻoe ke kūʻai i ka hapa nui o kēia mau lāʻau ma ke alo.
• Opioids a narcotics paha. ʻO kēia nā lāʻau i ʻoi aku ka ikaika e hoʻohana ʻia e mālama i ke akahai i ka ʻehaʻeha loa. Pono ʻoe i kahi kauka e lawe iā lākou. ʻO kekahi mau opioid maʻamau me codeine, fentanyl, morphine, a me oxycodone. Hiki iā ʻoe ke lawe i kēia mau lāʻau i mea hoʻohui i nā mea ʻeha ʻeha ʻē aʻe.
• Nā ʻano lāʻau ʻē aʻe. Kauoha paha kāu mea hāʻawi i nā lāʻau ʻē aʻe e kōkua i kou ʻeha. Hiki i kēia ke komo i nā anticonvulsants a i ʻole antidepressants no ka ʻeha o ke aʻa a i ʻole nā ​​steroid e mālama i ka ʻeha mai ka pehu ʻana.

He mea nui e lawe i kāu lāʻau ʻehaʻeha e like me ka ʻōlelo a kāu mea lawelawe iā ʻoe. Eia kekahi ʻōlelo aʻoaʻo e loaʻa ai ka mea nui mai kāu lāʻau ʻeha.

• E haʻi i kāu mea hāʻawi e pili ana i nā lāʻau ʻē aʻe āpau āu e lawe nei. Hiki i kekahi mau lāʻau ʻeha ke hui pū me nā lāʻau ʻē aʻe.
• Mai hōʻalo i nā lāʻau a hoʻāʻo e hele lōʻihi ma waena o nā kau. ʻOi aku ka maʻalahi o ka ʻeha ke mālama ʻoe i ka wā mua. Mai kali a ʻeha ka ʻeha ma mua o ka lawe ʻana i kāu lāʻau. Hiki i kēia ke paʻakikī i kou ʻeha e mālama a koi iā ʻoe e makemake i nā kaha nui.
• Mai hōʻoki i ka lawe ʻana i ka lāʻau iā ʻoe iho. E haʻi i kāu mea hāʻawi inā loaʻa iā ʻoe nā hopena a i ʻole nā ​​pilikia ʻē aʻe. Hiki i kāu mea hāʻawi ke kōkua iā ʻoe e ʻike i nā ala e hana ai i nā hopena a i ʻole nā ​​pilikia ʻē aʻe. Inā nui loa nā hopena ʻaoʻao, pono ʻoe e hoʻāʻo i kahi lāʻau ʻē aʻe.
• E haʻi i kāu mea hāʻawi inā ʻaʻole holo ka lāʻau. Hoʻonui paha lākou i kāu lāʻau, ua lawe pinepine paha ʻoe iā ia, a i ʻole hoʻāʻo i kahi lāʻau ʻē aʻe.

I kekahi mau hihia, manaʻo paha kāu mea hāʻawi i kahi ʻano hana hou aʻe no ka ʻeha o kou maʻi ʻaʻai. Aia kekahi mau koho i:

• ʻO ka stimulus nerve uila transcutaneus (TENS). ʻO TENS kahi au uila uila e hiki ke kōkua i ka ʻeha. Kau ʻoe iā ia ma ka ʻaoʻao o kou kino kahi e ʻeha ai ʻoe.
• Paʻa nerve. ʻO kēia kahi ʻano kūikawā o ka lāʻau ʻeha i injected a puni a i ʻole i ke aʻalolo e hoʻomāmā ai i ka ʻeha.
• Hoʻokiʻiliʻi Radiofrequency. Hoʻomehana nā nalu uila i nā wahi o nā aʻa nerve e kōkua ai i ka ʻeha.
• Lapaʻau hoʻomākala. Hiki i kēia lāʻau ke hōʻemi i kahi tumo nāna e hōʻeha i ka ʻeha.
• ʻO Chemotherapy. Hiki i kēia mau lāʻau ke hōʻemi i kahi tumo e hoʻemi i ka ʻeha.
• ʻOki kino. Hiki i kāu mea hāʻawi ke hoʻohana i ke ʻoki e wehe i kahi tumo e ʻeha ai. I kekahi mau hihia, hiki i kahi ʻano o ka ʻoki ʻana o ka lolo ke ʻoki i nā aʻalolo e lawe i nā leka ʻeha i kou lolo.
• Nā hōʻailona kōkua a me nā hoʻoponopono ʻokoʻa. Hiki paha iā ʻoe ke koho e hoʻāʻo i nā mālama e like me acupuncture, chiropractic, meditation, a i ʻole biofeedback e kōkua ai e mālama i kou ʻeha. I ka hapanui o nā hihia, hoʻohana ka poʻe i kēia mau ʻano me ka hoʻohui ʻana i nā lāʻau a i ʻole nā ​​ʻano ʻē aʻe o ka ʻehaʻeha.

Palliative - ʻeha ka maʻi ʻaʻai

Nesbit S, Browner I, Grossman SA. ʻEha pili i ka maʻi ʻaʻai. I: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 37.

Pūnaewele ʻo National Cancer Institute. ʻEha maʻi ʻaʻai (PDQ) - mana ʻoihana olakino. www.cancer.gov/about-cancer/treatment/side-effects/pain/pain-hp-pdq. Hoʻohou ʻia Kepakemapa 3, 2020. Loaʻa iā ʻOkakopa 24, 2020.

ʻO Scarborough BM, Smith CB. Ka mālama ʻeha maikaʻi loa ʻana no nā mea maʻi me ka maʻi ʻaʻai i ke au hou. ʻO CA Cancer J Clin. 2018; 68 (3): 182-196. PMID: 29603142 pubmed.ncbi.nlm.nih.gov/29603142/.

• Kanesa - Noho me ka maʻi ʻaʻai